Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-23T12:28:20.030Z Has data issue: false hasContentIssue false
  • English
  • Français

Non-rheumatic streptococcal myocarditis mimicking acute myocardial infarction in an adolescent male

Part of: Infectious

Published online by Cambridge University Press:  08 January 2018

Caitlin E. O’Brien ,
John D. Coulson ,
Priya Sekar ,
Jon R. Resar  and
Kristen Nelson McMillan
Caitlin E. O’Brien
Affiliation:
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, United States of America
John D. Coulson
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, Johns Hopkins School of Medicine, Baltimore, Maryland, United States of America
Priya Sekar
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, Johns Hopkins School of Medicine, Baltimore, Maryland, United States of America
Jon R. Resar
Affiliation:
Department of Medicine, Division of Cardiology, Johns Hopkins School of Medicine, Baltimore, Maryland, United States of America
Kristen Nelson McMillan*
Affiliation:
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, United States of America
*
Correspondence to: Dr K. N. McMillan, MD, Department of Anesthesiology and Critical Care Medicine, Johns Hopkins Hospital, Bloomberg Children’s Center 6349 F, 1800 Orleans Street, Baltimore, MD 21287, United States of America. Tel: +410 955 5142; Fax: 410 502 5312; E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

An adolescent male with a recent history of streptococcal pharyngitis presented with severe substernal chest pain, troponin leak, and ST-segment elevation, which are suggestive of acute inferolateral myocardial infarction. The coronary angiogram was normal. The patient was subsequently diagnosed with non-rheumatic streptococcal myocarditis. He was treated with amoxicillin and had excellent recovery. Non-rheumatic streptococcal myocarditis is an important mimic of acute myocardial infarction in young adults.

Keywords

Non-rheumatic streptococcal myocarditisacute myocardial infarctionpaediatric myocarditis
Type
Brief Report
Information
Cardiology in the Young , Volume 28 , Issue 3 , March 2018 , pp. 454 - 457
Check for updates
Copyright
© Cambridge University Press 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Gore, I, Saphir, O. Myocarditis associated with acute nasopharyngitis and acute tonsillitis. Am Heart J 1947; 34: 831–851.Google Scholar
2. Aguirre, JL, Jurado, M, Porres-Aguilar, M, et al. Acute nonrheumatic streptococcal myocarditis resembling ST-elevation acute myocardial infarction in a young patient. Proc (Bayl Univ Med Cent) 2015: 188–190.Google ScholarPubMed
3. Upadhyay, GA, Gainor, JF, Stamm, LM, Weinberg, AN, Dec, GW, Ruskin, JN. Acute nonrheumatic streptococcal myocarditis: STEMI mimic in young adults. Am J Med 2012; 125: 1230–1233.Google Scholar
4. Mavrogeni, S, Bratis, K, Kitsiou, A, Kolovou, G. Streptococcal tonsillitis and acute streptococcal myocarditis: an unusual combination assessed by cardiac magnetic resonance imaging and endomyocardial biopsy. Ann Otol Rhinol Laryngol 2012; 121: 604–608.CrossRefGoogle ScholarPubMed
5. Mokabberi, R, Shirani, J, M, AH, Go, BD, Schiavone, W. Streptococcal pharyngitis-associated myocarditis mimicking acute STEMI. JACC Cardiovasc Imaging 2010; 3: 892–893.Google Scholar
6. Chikly, A, Durst, R, Lotan, C, Chen, S. Recurrent acute nonrheumatic streptococcal myocarditis mimicking STEMI in a young adult. Case Rep Cardio 2014; 964038.Google Scholar
7. Karjalainen, J. Streptococcal tonsillitis and acute nonrheumatic myopericarditis. Chest 1989; 95: 359–363.Google Scholar
8. Said, SA, Severin, WP. Acute nonrheumatic myopericarditis associated with group A hemolytic streptococcal tonsillitis in a male ICU-nurse. Neth J Med 1998; 53: 266–270.Google Scholar
9. Khavandi, A, Whitaker, J, Elkington, A, Probert, J, Walker, PR. Acute streptococcal myopericarditis mimicking myocardial infarction. Am J Emerg Med 2008; 26: 638.CrossRefGoogle ScholarPubMed
10. Dee, GW Jr, Walkman, H, Southern, J, Fallon, JT, Hutter, AM Jr, Palacios, I. Viral myocarditis mimicking acute myocardial infarction. J Am Coll Cardiol 1992; 20: 85–89.Google Scholar